Compositions, Kits, and Methods for Ameliorating Oculoplastic Post-Procedural Effects

ABSTRACT

Embodiments of the invention are directed to compositions, kits and methods for minimizing unsightly post-procedural effects associated with an oculoplastic procedure. The composition can include escin,  arnica  and phytonadione in a pharmacologically acceptable carrier.

FIELD OF THE INVENTION

Compositions for topical application to the skin which comprise escin, arnica and phytonadione.

SUMMARY

According to one embodiment, a composition, formulated to minimize one or more post-procedural effects associated with an oculoplastic procedure, includes escin, arnica and phytonadione.

According to another embodiment, a method of minimizing one or more post-procedural effects associated with an oculoplastic procedure includes applying a therapeutically effective of a composition at or around the site of the oculoplastic procedure. The topical composition includes escin, arnica and phytonadione.

According to yet another embodiment, a post-oculoplastic procedure recovery kit includes a composition consisting essentially of escin; arnica; phytonadione; glycerin stearate; glyceryl stearate citrate; glycerin; stearic acid; sunflower oil; phenoxyethanol; dimethicone; tocopheryl acetate; allantoin; retinyl palmitate; cholecalciferol; sodium ascorbyl phosphate; cetearyl alcohol; lecithin; potassium sorbate; caprylic triglyceride; xanthan gum; sodium bicarbonate; and deionized water.

These and other aspects of the present invention will be better understood by reference to the following detailed description.

DETAILED DESCRIPTION

All terms used herein are intended to have their ordinary meaning unless otherwise provided.

Oculoplastics, or oculoplastic surgery, includes a variety of procedures, including surgical procedures, that deal with the orbit (eye socket), eyelids, tear ducts, and the face. Oculoplastic procedures include blepharoplasty and other cosmetic surgeries that involve, for example, cosmetic filler injections and botulinum toxin injections to temporarily improve the appearance of vertical frown lines. Blepharoplasty is sometimes performed in conjunction with facial resurfacing, in which lines around the eyes are removed with a laser or a chemical peel. Oculoplastic procedures can result in unsightly post-procedural effects. For example, many patients or subjects experience some degree of bruising or swelling at and/or around the treated area or site. During cosmetic procedures, when the injection needle is inserted into the facial muscles, it may puncture a blood vessel. This may cause blood to hemorrhage from the capillaries. The intradermal cutaneous hemorrhage can show up as a bruise. Physicians or clinicians typically apply pressure on the injected site to stop any bleeding and prevent bruising. However, if the bleeding cannot be completely stopped, the patient may experience bruising. In some instances, patients may experience delayed bruising. This is due to the fact that, in these patients, it may be a while before the blood inside their skin migrates to the surface of the skin. As used herein, the term “bruise” includes red or bluish-black marks, or any discoloration of the skin due to the release of blood from the capillaries into the tissues under the skin as a result of the oculoplastic procedure.

Although the physician's skill may play a role in minimizing these side-effects, it is almost impossible to eliminate some bruising and other side-effects of an oculoplastic procedure. These side-effects can last from a few hours to a few days. Post-procedure, the patient can apply makeup to conceal any minor bruising and ice to reduce any swelling. In some case, the patient may be advised to take oxidant rich foods and supplements until the patient is free of bruising. In some cases, the supplements may not be regulated by the Food and Drug Administration (FDA). Some patients may experience adverse side-effects (due to reactions with other medications) from ingesting some of these non-FDA regulated supplements. Therefore, there is a need for a non-ingestible composition that helps reduce or eliminate bruising, scarring, swelling and other similar effects caused by an oculoplastic procedure. Such a composition should be able to minimize skin discoloration and reduce bruising. Such a composition must also be non-toxic.

Embodiments of the present invention include non-toxic compositions, kits and methods for treating or minimizing one or more post-procedural effects associated with an oculoplastic procedure. The composition can be administered to a patient in a pharmacologically acceptable form selected from creams, ointments, gels, lotions, solutions and emulsions. A therapeutically effective amount of the composition can be administered to a patient prior to or soon after an oculoplastic procedure. For the purposes of this application, the term “therapeutically effective” indicates that a pre-determined amount of the composition is applied to the skin, wherein the amount is sufficient to reduce the time required to heal a post-oculoplastic procedure bruise, scar or swelling. The required dosage and duration of administration can be adjusted based on, for example, the age of the patient, visible improvements in the appearance of the bruise and other physiological indicators.

Administration of the composition can result in a visible improvement in one or more unsightly post-procedural effect, including, bruising, skin discolorations and swelling. The composition can be administered topically or locally to the skin at and/or around the site/area of the oculoplastic procedure. As used herein, the term “administration” means applying a therapeutically effective amount of the composition to the skin such that any unsightly post-procedural effects, such as, bruising, skin discolorations and swelling are treated to speed up their resolution.

In an embodiment, the composition can include escin, arnica and phytonadione in a pharmaceutically acceptable carrier. In one embodiment, the composition includes at least 2% escin or aescin. Escin improves circulation and eases post-procedural swelling. Escin is derived from horse chestnut (Aesculus hippocastanum). Arnica is extracted from the plant Arnica Montana. Arnica reduces inflammation and bruising. Phytonadione or Vitamin K is a fat-soluble vitamin that the body needs for blood coagulation. Vitamin K is associated with veins and blood because it is a factor in the blood's ability to clot. Vitamin K can minimize skin discolorations. Accordingly, in one embodiment, the composition including escin, arnica and phtyonadione reduces bruising and eases swelling by strengthening capillaries and improving circulation.

The composition further includes one or more vitamins or antioxidants to eliminate scars and reduce bruising. For example, in one embodiment, the composition can include one or more of tocopheryl acetate, cholecalciferol, rose hip seed oil, retinyl palmitate and sodium ascorbyl phosphate to minimize scarring and bruising when applied to the skin.

The composition includes shea butter and deionized water. The composition can further include a stabilizer and one or more emulsifiers such as an amphoteric, anionic, cationic or nonionic emulsifier, used alone or as a mixture, and optionally a co-emulsifier. The emulsifiers are chosen in an appropriate manner according to the emulsion to be obtained. The composition can include vegetable derived glycerine to reduce redness and increase moisture. The composition can include a vegetable derived glucoside-based emulsifier. In one embodiment, the composition can include cetostearyl alcohol, cetearyl alcohol or cetylstearyl alcohol, glyceryl monostearate or glyceryl stearate, glyceryl stearate citrate and stearic acid. The composition can further include xanthan gum for ensuring flowability of the composition.

The composition further includes one or more emollients. In one embodiment, the composition includes aloe barbanesis leaf juice or aloe vera. Aloe is known to have healthful benefits and can ease swelling or inflammation and help speed up the healing recovery process. The composition can further include sunflower oil, dimethicone, lecithin and caprylic/capric triglyceride and/or combinations thereof.

The composition further includes one or more antibacterial agents such as potassium sorbate and phenoxyethanol and a sulfur compound such as methylsulfonylmethane. The composition may further include allantoin. Allantoin is anti-irritant and skin protectant that also promotes the healing of scars. The composition can further include a stabilizer such as xanthan gum and a buffer such as sodium bicarbonate.

According to one embodiment, the composition consists essentially of escin, arnica, phytonadione, glycerin stearate, glyceryl stearate citrate, glycerin, stearic acid, sunflower oil, phenoxyethanol, dimethicone, tocopheryl acetate, allantoin, retinyl palmitate, cholecalciferol, sodium ascorbyl phosphate, cetearyl alcohol, lecithin, potassium sorbate, caprylic triglyceride, xanthan gum, sodium bicarbonate, and deionized water. This specific list of ingredients, which includes a high number of active ingredients, specifically and comprehensively addresses the need for a topical composition that can minimize bruising or swelling after an oculoplastic procedure in a single cosmetic product. In one embodiment, the composition can be devoid of dextran sulfate mixtures and/or a steroid.

According to another embodiment, a patient recommended for an oculoplastic procedure is identified as a candidate for receiving post procedure treatment. For instance, the patient may be known to be easily susceptible to bruising. Some patients may be susceptible to bruising due thinning and/or loss of elasticity of the skin due to illness or aging. Such patients can be administered a therapeutically effective amount of the composition in a pharmaceutically acceptable medium prior to and/or after the oculoplastic procedure. For example, a cream or lotion can be administered by gently rubbing onto the skin at or around the site of the oculoplastic procedure. The composition is allowed to penetrate the skin such that any unsightly post-procedural effects, such as, bruising, skin discolorations and swelling are treated, inhibited or reduced.

The composition is non-toxic and any residue can be safely left on the skin. The composition can be re-applied, as needed, periodically. For example, the composition used may be administered more than once daily. When topically applied, the composition ameliorates the undesired effects of an oculoplastic procedure. The composition can accelerate/reduce the time required to heal a bruise, swelling or scar caused by the oculoplastic procedure. Thus, the application of the composition can have a curative effect.

According to yet another embodiment, a post-oculoplastic procedure recovery kit includes a topical composition consisting essentially of escin, arnica, phytonadione, glycerin stearate, glyceryl stearate citrate, glycerin, stearic acid, sunflower oil, phenoxyethanol, dimethicone, tocopheryl acetate, allantoin, retinyl palmitate, cholecalciferol, sodium ascorbyl phosphate, cetearyl alcohol, lecithin, potassium sorbate, caprylic triglyceride, xanthan gum, sodium bicarbonate, and deionized water. The kit further includes housing for the composition. The kit can further include instructions for the application of the composition.

The embodiments of the invention provide methods, kits and compositions for cosmetic and therapeutic uses. It will also be appreciated that the composition can be employed in combination therapies, that is, administered concurrently with, prior to, or subsequent to, one or more other desired therapeutics or medical procedures taking into account the desired therapeutic effect to be achieved.

Therefore, the present invention is well adapted to attain the ends and advantages mentioned as well as those that are inherent therein. The particular embodiments disclosed above are illustrative only, as the present invention may be modified and practiced in different but equivalent manners apparent to those skilled in the art having the benefit of the teachings herein. For instance, the composition can also be used to treat any bruising caused by any (non-oculoplastic) procedure that causes blood to escape into surrounding tissue. Furthermore, no limitations are intended to the details of construction or design herein shown, other than as described in the claims below. It is, therefore, evident that the particular illustrative embodiments disclosed above may be altered or modified and all such variations are considered within the scope and spirit of the present invention. While composition, kits and methods are described in terms of “comprising,” “containing,” or “including” various components or steps, the compositions, kits and methods also can “consist essentially of” or “consist of” the various components and steps. In particular, every range of values (of the form, “from about a to about b,” or, equivalently, “from approximately a to b”) disclosed herein is to be understood to set forth every number and range encompassed within the broader range of values. Also, the terms in the claims have their plain, ordinary meaning unless otherwise explicitly and clearly defined by the patentee. Moreover, the indefinite articles “a” or “an”, as used in the claims, are defined herein to mean one or more than one of the element that it introduces. If there is any conflict in the usages of a word or term in this specification and one or more patent(s) or other documents that may be incorporated herein by reference, the definitions that are consistent with this specification should be adopted. 

What is claimed is:
 1. A topical composition comprising: escin; arnica; and phytonadione, wherein the composition is formulated to minimize one or more post-procedural effects associated with an oculoplastic procedure.
 2. The composition according to claim 1, further comprising deionized water.
 3. The composition according to claim 1, further comprising glycerin.
 4. The composition according to claim 1, further comprising glycerin stearate and/or glyceryl stearate citrate.
 5. The composition according to claim 1, further comprising: stearic acid; sunflower oil; phenoxyethanol; dimethicone; tocopheryl acetate; allantoin; retinyl palmitate; cholecalciferol; sodium ascorbyl phosphate; cetearyl alcohol; lecithin; potassium sorbate; and caprylic/capric triglyceride.
 6. The composition according to claim 1, further comprising xanthan gum.
 7. The composition according to claim 1, further comprising sodium bicarbonate.
 8. A method of minimizing one or more post-procedural effects associated with an oculoplastic procedure in a subject, comprising: administering a therapeutically effective amount of a composition comprising: escin; arnica; and phytonadione.
 9. The method according to claim 8, wherein the composition is administered after the oculoplastic procedure.
 10. The method according to claim 8, wherein the composition is administered prior to the oculoplastic procedure.
 11. The method according to claim 8, wherein the composition further comprises glycerin, stearate and/or glyceryl stearate citrate.
 12. The method according to claim 8, wherein the composition further comprises: deionized water; stearic acid; sunflower oil; phenoxyethanol; dimethicone; tocopheryl acetate; allantoin; retinyl palmitate; cholecalciferol; sodium ascorbyl phosphate; cetearyl alcohol; lecithin; xanthan gum; potassium sorbate; and caprylic triglyceride.
 13. The method according to claim 8, wherein the oculoplastic procedure comprises a facial procedure.
 14. The method according to claim 8, wherein the composition is topically applied to the skin.
 15. The method according to claim 8, wherein the composition is topically applied at or around a site of the oculoplastic procedure.
 16. The method according to claim 8, wherein the composition is administered in a pharmacologically acceptable form selected from creams, ointments, gels, lotions, solutions and emulsions.
 17. The method according to claim 8, wherein the applied amount of the composition is sufficient to reduce the healing time of a post-procedural bruise and/or scar.
 18. The method according to claim 8, further comprises identifying a patient recommended for an oculoplastic procedure.
 19. A post-oculoplastic procedure recovery kit comprising: a topical composition consisting essentially of: escin; arnica; phytonadione; glycerin stearate; glyceryl stearate citrate; glycerin; stearic acid; sunflower oil; phenoxyethanol; dimethicone; tocopheryl acetate; allantoin; retinyl palmitate; cholecalciferol; sodium ascorbyl phosphate; cetearyl alcohol; lecithin; potassium sorbate; caprylic triglyceride; xanthan gum; sodium bicarbonate; and deionized water, wherein the composition is formulated to minimize one or more post-procedural effects associated with an oculoplastic procedure.
 20. The kit according to claim 19, wherein the kit further comprises housing for the topical composition. 